Frcs Ophthalmology Part 3 -

“Three-year-old. Leukocoria. Your differential?” the examiner snapped.

“Differential: Retinoblastoma, Coats’ disease, PHPV, Toxocara. But I note the OCT shows a solid, calcific mass. No exudation. My index of suspicion is Retinoblastoma. My immediate next step is not a biopsy—that risks extraocular spread. It is an EUA (Examination Under Anaesthesia) with B-scan, and referral to the specialist ocular oncology unit within 24 hours.” frcs ophthalmology part 3

Omar picked up the Glaucoma bag. Inside: a dummy patient’s notes, a visual field printout, and an OCT. He ran the drill. “Three-year-old

Omar sat down. The patient was a nervous-looking man in his 50s. Omar put his fingers on the slit lamp. Focus. Relax. a visual field printout

Omar’s mind went blank. The formula... the sine of the angle... He couldn't remember.